Application and authorization to conduct a gun deer hunt for hunters with disabilities

Form 2300-211 (R 3/12)

Use of this form is required by the department for any application files pursuant to s. 29.193, Wis. Stats., and s. NR 10.40, Wis. Adm. Code. The department will not consider your application unless you complete and submit this form. Personally identifiable information provided may be used to determine identity of the applicant, participation in natural resources surveys, eligibility for approvals and other enforcement purposes.

By enrolling in this program you are required to allow other disabled hunters to hunt on your property if asked.

Please read the rules of conducting a hunt [PDF] .

Please tab or use your mouse to move between fields, hitting enter will submit the form.

*Required field

Sponsor information
Name*
Organization
Street or Route*
City*
State*
Zip*
Home telephone number*
Work telephone number
Email

Deer hunt information
The deer hunt will be conducted on lands located in:

County*

Township*

Range*

E W

Section(s)*

County

Township

Range

E W

Section(s)

County

Township

Range

E W

Section(s)

County

Township

Range

E W

Section(s)

Total acreage* (Must be >= 60 acres).
Do any of these lands have a public hunting requirement?*	Yes No
Dates deer hunt will be held (format MM/DD/YYYY)* / / to / /
Special restrictions for the hunt

Sponsor Certification
I hereby certify that I am an authorized representative of this gun deer hunt for hunters with disabilities, the information provided on this application is accurate and that I will conduct the deer hunt according to all the conditions of this application. I certify that I have received landowner permission to conduct the hunt on all properties listed on this application. The department will not issue an authorization for properties on which authority has not been granted.
Approval of authorized representative*	Yes

Sponsor Certification

I hereby certify that I am an authorized representative of this gun deer hunt for hunters with disabilities, the information provided on this application is accurate and that I will conduct the deer hunt according to all the conditions of this application. I certify that I have received landowner permission to conduct the hunt on all properties listed on this application. The department will not issue an authorization for properties on which authority has not been granted.

Approval of authorized representative*

Yes

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Last revised: Friday, April 09, 2021